DR. JOHN STANTON DO
NPI 1376599654
Emergency Medicine in Enterprise, AL

Active since May 26, 2006PECOS EnrolledAccepts Medicare Assignment
100 CANDLEWOOD DR, ENTERPRISE, AL 36330(215) 802-9251 Get Directions Write a Review

NPPES record last updated: July 27, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. John Stanton Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN STANTON DO (NPI 1376599654) is an individual emergency medicine provider in Enterprise, Alabama, licensed in Pennsylvania (OS009171L) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Regional Hospital Of Scranton, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1376599654
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. JOHN STANTONCredential: DO
Location Address100 CANDLEWOOD DREnterprise, AL 36330-8104
Mailing Address100 Candlewood DrEnterprise, AL 36330-8104 · (215) 802-9251
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateMay 26, 2006
Last NPPES UpdateJuly 27, 2016
✔ NPI 1376599654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in PA · OS009171L
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
100 CANDLEWOOD DR, Enterprise, AL 36330

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. John Stanton Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345212460
PECOS Enrollment IDI20160126000760
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

16

Medicare enrollment records show John Stanton reassigns Medicare billing to 16 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
606 BOLL WEEVIL CIR, A
Enterprise, AL 36330
  • Reassigned Medicare billing, Alabama enrollment
  • 660 clinicians in this Medicare group
Emergency Medicine
126 HOSPITAL AVE
Ozark, AL 36360
  • Reassigned Medicare billing, Alabama enrollment
  • 140 clinicians in this Medicare group
Emergency Medical Services
126 HOSPITAL AVE
Ozark, AL 36360
  • Reassigned Medicare billing, Alabama enrollment
  • 44 clinicians in this Medicare group
Emergency Medicine
1200 W MAPLE AVE
Geneva, AL 36340
  • Reassigned Medicare billing, Alabama enrollment
  • 36 clinicians in this Medicare group
Emergency Medicine
1330 HIGHWAY 231 S
Troy, AL 36081
  • Reassigned Medicare billing, Alabama enrollment
  • 60 clinicians in this Medicare group
Rural Health
31 RAILROAD ST
Louisville, AL 36048
  • Reassigned Medicare billing, Alabama enrollment
  • 36 clinicians in this Medicare group
Emergency Medicine
820 W WASHINGTON ST
Eufaula, AL 36027
  • Reassigned Medicare billing, Alabama enrollment
  • 55 clinicians in this Medicare group
Emergency Medicine
820 W WASHINGTON ST
Eufaula, AL 36027
  • Reassigned Medicare billing, Alabama enrollment
  • 33 clinicians in this Medicare group
Emergency Medicine
1725 PINE ST
Montgomery, AL 36106
  • Reassigned Medicare billing, Alabama enrollment
  • 168 clinicians in this Medicare group
Emergency Medicine
6801 AIRPORT BLVD
Mobile, AL 36608
  • Reassigned Medicare billing, Alabama enrollment
  • 72 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
435 services415 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
343 services318 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
159 services157 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
32 services32 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
26 services24 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Regional Hospital Of Scranton

Acute Care Hospitals · Scranton, PA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number390237
Location746 Jefferson AvenueScranton, PA 18501 · Lackawanna County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36330 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Stanton's NPI number?

The NPI number for John Stanton is 1376599654. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is John Stanton located?

John Stanton practices at 100 Candlewood Dr, Enterprise, AL 36330. The listed phone number is (215) 802-9251.

What is John Stanton's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is John Stanton enrolled in Medicare?

Yes. John Stanton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for John Stanton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Stanton reassigns Medicare benefits to 16 organizations: American Family Care, LLC (Enterprise, AL), Newgen Alabama Billing LLC (Ozark, AL), Southland Medical Solutions Of Ozark, Pl (Ozark, AL), Geneva County Healthcare Authority, Inc. (Geneva, AL), Keystone Medical Services Of Alabama, Inc. (Troy, AL) and 11 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Stanton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Stanton accept?

Health plans from Blue Cross and Blue Shield of Alabama and Oscar Insurance Company list John Stanton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is John Stanton affiliated with any hospitals?

According to CMS data, John Stanton is affiliated with Regional Hospital Of Scranton.

When was this NPI record last updated?

The NPPES record for John Stanton was last updated on July 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.